| Rank | Private |
| Service # | 3135102 |
| Unit # | 1st, WOR, 4th Bn. Res. |
| Resident | Coatsworth |
Regimental number: 3135102. Reference: RG 150, Accession 1992-93/166, Box 761 – 28. Present address: – Coatsworth, ON. Date of Birth: 17/01/1897 at Buckavin, Poland, Russia. N of K: Darrol Suskey of Coatsworth, Kent CO., ON. A single farmer living at Coatsworth. N of:K: MSA 707166 AC. 17/01/1897. Attestation: 14/05/1918 at London, ON to 1st WOR. At Chatham, ON. 13/10/17 (A2) – 14/05/18.
Apparent Age: 21 yrs, 4 mths., Height: 5’ 4”, Chest: 38”, Complexion: Medium, Eyes: Blue, Hair: Light Brown, Vision: Right Eye 20/20 – Left: 20/20, – Hearing R. & L. – Normal. at London, ON 14/05/1918.
Discharge: 1st Depot Bn. WOR, at London, ON. – 14/05/18 – England with 4th Res. Bn. – No change of description 22/09/1919 at Toronto – 22/09/1919 – Examination: 20/06/1919 – Auth:- 14/01/14 – 13/06/19 – Med: Board:- at Chatham, ON. (A11) London, 3/07/18.
Medical History: 13/10/1917 at Chatham ON.Weight: 129# – Examined at London, ON. 14/05/18 – 3/07/18 . No. 2 Gen. Hosp. – 3/09/18 – 13/09/18 – Influenza (11 days) – 27/07/19: Embarked 18/07/18 from Canada – Disembarked: 15/08/18 – Beller of Shon – Disembarked – to England. 30/08/18 – 4th Res., 31/03/19 – 4th Can. 31/03/19 – 1/04/19 “R” Wing – TOS.
Arv in England: S. S. 15/08/18 – S.S. Bellerohon. – 31/03/19 – SOS to R. Wing – 105-1-26 – 12/09/19 – 17/09/19 – SOS – CANADA 12/09/19. 12 CS – BRAMSHOTT – GEN. MIL. – Belfast 22/07/1919 – contracted Influenza – Cont Thumb – Right: Date of Service – 15/08/18 – Influenza 13/09/18 – Aboard the S.S. REGINA – 12/09/19 – DISCHARGE: – Bramshott – Influenza – Disc: 13/09/18 – Discharge: 22/07/1919.
1/04/19 to 9/08/19 TOS to Canada 12/09/19 – Embarked on the S.S. Regg to Liverpool – 2/09/19 – 12/09/19 TOS – Depot – Toronto – Discharge: HMS 268 (Sep. 22/19 ).
ADDITIONAL INFORMATION
| Sources | Library Archives of Canada, RG 150, Accession 1992-93/166, Box 761 – 28, LAC Search |
| Height | 5' 4" |
| Eye Colour | Blue |
| Age | 21 yrs. 4 mths. |
| Complexion | Medium |
| Hair | Light Brown |
| Birthplace | 17/01/1897 at Buckavin, Poland. |
| Next of Kin | Darrol Suskey of Coatsworth, Kent Co., ON. |
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